Holley Osborne Craddock (NPI# 1124362181, PAC ID# 9335393263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124362181 |
| PAC ID by PECOS | 9335393263 |
| Professional Enrollment ID | I20130131000253 |
| Full Name | Holley Osborne Craddock |
| Organization Legal Name | WELLMONT CARDIOLOGY SERVICES |
| Address |
2050 Meadowview Pkwy Kingsport TN 37660-7475 |
| Phone Number | 4232305000 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799970281 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24530 Falcon Place Blvd, Suite 101, Abingdon, VA 24211-7665 | 2767390067 | WELLMONT CARDIOLOGY SERVICES |
| 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 4232305000 | WELLMONT CARDIOLOGY SERVICES |
| Organization Legal Name | WELLMONT CARDIOLOGY SERVICES |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shipeng Yu | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 615 Commonwealth Dr, Norton, VA 24273-4053 |
| Kristen Looney | Nurse Practitioner | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Joshua Wayne Mosley | Nurse Practitioner | Wellmont Cardiology Services | 2428 Knob Creek Rd, Suite 201, Johnson City, TN 37604-2396 |
| Janet W Powell | Nurse Practitioner | Wellmont Cardiology Services | 271 Medical Park Blvd, Bristol, TN 37620-7455 |
| Joanne Viers | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Barbara Jo Smith | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Daniel E Simpson | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| William H Messerschmidt | Thoracic Surgery | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Tina A Rose | Nurse Practitioner | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Herbert Ladley | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Street Address |
2050 MEADOWVIEW PKWY |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-7475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Looney | Nurse Practitioner | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Daniel E Simpson | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Tina A Rose | Nurse Practitioner | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Herbert Ladley | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Anna D Pendleton | Nurse Practitioner | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Jeffrey R Kappa | General Surgery | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Paula D Parker | Nurse Practitioner | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Robert K Kramer | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Freddie Williams | Cardiovascular Disease (cardiology) | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| James M Yeager | Physician Assistant | Wellmont Cardiology Services | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KINGSPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holley Osborne Craddock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.